Provider Demographics
NPI:1518151869
Name:JENKINS, MARGARET RAE (STNA)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:RAE
Last Name:JENKINS
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4628 HEBRIDES DR
Mailing Address - Street 2:APT B
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-5134
Mailing Address - Country:US
Mailing Address - Phone:740-975-8094
Mailing Address - Fax:
Practice Address - Street 1:4628 HEBRIDES DR
Practice Address - Street 2:APT B
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-5134
Practice Address - Country:US
Practice Address - Phone:740-975-8094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH40000861081372600000X, 3747P1801X, 374U00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide